Provider Demographics
NPI:1508454729
Name:CALTON, RYAN CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CHARLES
Last Name:CALTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 SILVER BELL RD STE 9
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-5233
Mailing Address - Country:US
Mailing Address - Phone:651-452-7018
Mailing Address - Fax:
Practice Address - Street 1:2020 SILVER BELL RD STE 9
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-5233
Practice Address - Country:US
Practice Address - Phone:651-452-7018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor